Document Detail


Rapid sequence intubation without a neuromuscular blocking agent in a 14-year-old female patient with myasthenia gravis.
MedLine Citation:
PMID:  17263747     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The anesthesia care of a 14-year-old female patient with an acute exacerbation of myasthenia gravis (MG) and a full stomach who required emergency surgery for placement of a hemodialysis catheter is described. A nonventilated rapid sequence induction was successful with the use of propofol, lidocaine, remifentanil, cricoid pressure and no neuromuscular blocking agent. Although the use of combinations of i.v. anesthetic agents have been suggested for tracheal intubation without the need for neuromuscular blocking agents, none of these techniques has been advocated for rapid sequence intubation. We review existing literature on the topic of tracheal intubation using remifentanil and propofol without a neuromuscular blocking agent and on the topic of tracheal intubation of patients with MG using i.v. anesthesia and no neuromuscular blocking agents.
Authors:
George D Politis; Joseph D Tobias
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  17     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2007-01-31     Completed Date:  2007-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  285-8     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, University of Virginia Health System, Charlottesville, VA, USA. gdp8a@virginia.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anesthesia / methods*
Catheterization
Female
Humans
Intubation, Intratracheal / instrumentation*,  methods
Monitoring, Physiologic
Myasthenia Gravis / complications
Neuromuscular Blockade / adverse effects,  contraindications*
Outcome Assessment (Health Care)
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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